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Non-surgical treatments for erectile dysfunction include medications such as Viagra, vacuum pumps, sex therapy, and penile injections. The number of men who discontinue these treatments is quite high, since they all have significant pros and cons.

While injecting the penis with a drug that causes erection is one of the most effective non-surgical therapies, the dropout rate is up to 80 percent, depending on which study you read. A recent study reported in "The Journal of Urology" examines men's reasons for quitting this type of treatment.

Penile injection involves using a needle to inject medications directly into the tissues of the penis. Researchers at the Boston University Medical Center in Massachusetts sent a questionnaire to 1,424 men who had been taught to give themselves this treatment. A total of 720 men responded, and 223 (31 percent) reported that they had stopped using the injections.

Comparing the dropouts to those who continued to use penile injections, the researchers found no differences in effectiveness: About 80 percent in each group reported adequate response to the injections. However, dropouts reported using the technique an average of four times a month before quitting, while those who continued the treatment used it an average of 11 times a month.

The men could give up to 19 reasons for dropping out. The most common reasons for quitting therapy were cost and unhappiness with the idea of injecting the penis-28 percent of dropouts cited these reasons. Twenty percent reported that their partners did not like the injections, and 14 percent said the treatment didn't work.

The researchers noted that only five percent of the men reported painful injections. This is lower than reported in other studies, probably because most of these men were receiving medication that combined two or three drugs and had lower levels of prostaglandin. The men in this study also reported fewer side effects from the injections than those in other studies, perhaps for the same reason.

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